ICD-10-CM · Other

M26.37

M26.37 identifies an abnormally increased vertical space between opposing fully erupted teeth when the jaw is at rest — encompassing both excessive intermaxillary vertical dimension and loss of occlusal vertical dimension.

Verified May 8, 2026 · 4 sources ↓

Status
Billable
Chapter
13
Related CPT
20
Region
Other
Drawn from CDCICD10DataAAPCIcd10coded

Documentation tips

What should appear in the chart to support M26.37.

Source · Editorial brief grounded in 4 cited references ↓

  • Specify whether the clinical finding is excessive intermaxillary vertical dimension or loss of occlusal vertical dimension — both support M26.37, but naming the exact presentation strengthens medical necessity.
  • Record objective measurements: document the resting interocclusal distance and the functional occlusal vertical dimension to distinguish M26.37 from its opposite, M26.36 (insufficient distance).
  • Note that all teeth involved are fully erupted — M26.37 does not apply to partially erupted, embedded, or impacted teeth, which fall under K01.-.
  • Document contributing etiologies (e.g., generalized tooth wear, prior tooth loss, failed or worn prosthetics) that explain the excessive vertical dimension and demonstrate medical necessity for treatment.
  • If concurrent TMJ dysfunction codes (M26.50–M26.56) are also present, list each separately; they are not mutually exclusive with M26.37.

Related CPT procedures

Procedure codes commonly billed with M26.37. Linking the right diagnosis to the right procedure is what establishes medical necessity.

Source · CMS LCDs · AAOS specialty guidance · claims-pattern analysis

21085 $710.10
Impression and custom fabrication of an oral surgical splint used to support facial structures during orthognathic or jaw reconstruction surgery.
21100 $630.94
Application of a halo-type external fixation appliance to stabilize the maxillofacial skeleton, with removal reported as a separate procedure.
21110 $872.77
Application of an interdental fixation device for conditions other than fracture or dislocation, including subsequent removal.
21120 $715.45
Chin augmentation using grafted or implant material placed without bony osteotomy — the genioplasty code when the surgeon adds volume rather than repositions bone.
21121 $649.98
Genioplasty using a sliding osteotomy technique, single bone segment — repositions the chin by cutting and advancing or setting back a single piece of the mandibular symphysis.
21122 $700.08
Genioplasty performed via two or more sliding osteotomies — typically wedge excisions or bone wedge reversals — to reposition or reshape an asymmetrical chin.
21123 $777.91
Sliding genioplasty with interpositional bone graft augmentation, including harvest of autograft material from the patient.
21125 $2,595.58
Surgical augmentation of the mandibular body or angle using prosthetic implant material to enlarge or reshape the lower jaw.
21127 $3,968.03
Augmentation of the mandible using a bone graft, typically to build up deficient jaw volume for reconstructive purposes.
21145 $1,390.81
LeFort I single-piece maxillary osteotomy performed with bone grafting to reposition the upper jaw and correct midface skeletal deformity.
21150 $1,415.20
Reconstruction of the midface via a modified Le Fort II osteotomy pattern that advances the nasal-orbital complex anteriorly without mobilizing the zygoma.
21155 $1,851.41
Reconstruction of the midface using a modified LeFort III osteotomy with internal fixation, repositioning the midface skeleton to correct severe craniofacial deformities.
21160 $2,392.84
Reconstruction of the midface (Le Fort III level) with advancement using an internal distraction device — a high-complexity craniofacial procedure performed for severe midface hypoplasia or retrusion.
21193 $1,108.58
Surgical reconstruction of the mandibular rami (vertical portions of the lower jaw) to correct deformity or dysfunction without the use of bone or tissue grafting material.
21194 $1,279.59
Reconstruction of the mandibular rami using a horizontal, vertical, C, or L osteotomy, with bone graft harvested from the patient (graft procurement included).
21195 $1,217.46
Surgical reconstruction of the mandibular rami and/or body using a sagittal split osteotomy technique, performed without internal rigid fixation hardware.
21196 $1,296.62
Surgical reconstruction of the mandibular body and/or rami using a sagittal split osteotomy technique, with internal fixation applied to stabilize the repositioned jaw segments.
21198 $908.84
Surgical reconstruction of a lower jaw (mandibular) segment, typically involving osteotomy and repositioning or rebuilding of bone to correct deformity from trauma, disease, or congenital origin.
21199 $906.17
Segmental mandibular osteotomy with genioglossus muscle advancement — the lower jaw is cut in segments, repositioned, and the tongue-base muscle attachment is advanced forward.
21089 View procedure details

Common coding pitfalls

The recurring mistakes coders make with M26.37 and adjacent codes.

Source · Editorial brief grounded in CDC ICD-10-CM tabular guidance, AAOS coding references, and cited references ↓

  • Confusing M26.37 (excessive distance) with M26.36 (insufficient distance) — the two are opposites; always confirm the direction of the anomaly from the clinical note before selecting.
  • Applying M26.37 to partially erupted or impacted teeth — the code is restricted to fully erupted teeth; embedded/impacted teeth require K01.- codes, which are Excludes2 at the M26.3 category level.
  • Defaulting to the unspecified parent M26.39 when documentation clearly supports M26.37 — M26.37 is the billable specific code and should always be used when the condition is explicitly documented as excessive interocclusal distance.
  • Omitting concurrent functional anomaly codes (M26.5x) when both structural and functional TMJ findings are documented — coders sometimes under-code the full clinical picture.

Clinical context

Source · Editorial summary grounded in 4 cited references ↓

M26.37 is used when documentation confirms that fully erupted teeth exhibit an excessive interocclusal distance, meaning the vertical gap between maxillary and mandibular teeth exceeds normal resting parameters. The two canonical clinical presentations captured here are: (1) excessive intermaxillary vertical dimension, where the overall jaw-open rest position is pathologically increased, and (2) loss of occlusal vertical dimension, typically resulting from tooth wear, tooth loss, or failed restorations that have allowed the vertical dimension to collapse and then overcorrect. Both map directly to M26.37 per the Applicable To notes in the FY2026 Tabular List.

This code sits within M26.3 (Anomalies of tooth position of fully erupted tooth or teeth). Its mirror image is M26.36 (Insufficient interocclusal distance of fully erupted teeth), so the distinction in documentation — excessive vs. insufficient — drives the entire code selection. Do not use M26.37 for embedded or impacted teeth; those route to K01.- per the Excludes2 annotation at the M26.3 level.

M26.37 is most often assigned in oral and maxillofacial surgery, prosthodontics, orthodontic, and TMJ-focused practices. In an orthopedic or multi-specialty setting it may appear when TMJ dysfunction or jaw biomechanics intersect with musculoskeletal care. No laterality or 7th-character extension applies to this code.

Inclusion & exclusion notes

Per the official ICD-10-CM Tabular List.

Source · CDC ICD-10-CM Official Tabular List · 2026

Includes

  • Excessive intermaxillary vertical dimension of fully erupted teeth
  • Loss of occlusal vertical dimension of fully erupted teeth

Sibling codes

Other billable codes under M26.3 (laterality / anatomic variants).

Frequently asked questions

Source · Generated from the editorial pipeline, verified against 4 cited references ↓

01What is the clinical difference between M26.37 and M26.36?
M26.36 codes insufficient interocclusal distance — too little vertical space between opposing teeth. M26.37 codes excessive interocclusal distance — too much vertical space. Documentation must explicitly state which direction the anomaly falls; do not guess from procedure type alone.
02Does M26.37 require a 7th-character extension?
No. M26.37 is a complete, billable 5-character code. No 7th-character extension is required or valid. The 7th-character injury encounter designators (A, D, S) apply to S-category injury codes, not M-category musculoskeletal codes.
03Can M26.37 be used for a patient whose vertical dimension loss is caused by a worn denture?
Yes, provided the underlying teeth involved are fully erupted. The 'loss of occlusal vertical dimension of fully erupted teeth' inclusion term in the FY2026 Tabular List covers this scenario. Document the prosthetic history and the resulting clinical measurement.
04Is M26.37 appropriate when embedded or impacted teeth are the source of the spacing problem?
No. An Excludes2 note at the M26.3 category level directs embedded and impacted teeth to K01.-. M26.37 is restricted to fully erupted teeth only.
05Can M26.37 be coded alongside TMJ dysfunction codes like M26.52 (limited mandibular range of motion)?
Yes. M26.37 describes a structural tooth-position anomaly; M26.5x codes describe dentofacial functional abnormalities. They address different aspects of the same patient's condition and are not mutually exclusive — code both when documented.
06Which specialty providers most commonly assign M26.37?
Oral and maxillofacial surgeons, prosthodontists, and orthodontists assign this code most frequently. It may also appear in orthopedic or physical medicine settings when TMJ-related jaw mechanics are part of the diagnostic workup.
07Does M26.37 have laterality sub-codes?
No. The M26.37 code has no laterality variants. The condition is classified without a side designation, consistent with the rest of the M26.3x subcategory.

Sources & references

Editorial content was developed using the following public sources. Last verified May 8, 2026.

  1. 01CDC ICD-10-CM Tabular List 2026 (effective October 1, 2025)
  2. 02
    icd10data.com
    https://www.icd10data.com/ICD10CM/Codes/M00-M99/M26-M27/M26-/M26.37
  3. 03
    aapc.com
    https://www.aapc.com/codes/icd-10-codes/M26.37
  4. 04
    icd10coded.com
    https://icd10coded.com/cm/M26/

Mira AI Scribe

The Mira AI Scribe captures the measured interocclusal resting distance, the provider's characterization of the finding as excessive (vs. insufficient), eruption status of involved teeth, and any documented etiology such as tooth loss or prosthetic wear. This prevents a drop to the unspecified M26.39, blocks a payer challenge based on vague medical necessity language, and eliminates the risk of miscoding to the clinically opposite M26.36.

See how Mira captures M26.37 documentation

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